[Question #3183] Anxiety over exposure of partner

37 months ago
Doctor

I have gential warts for a few years and have treated them. I believe I might have a few small ones that have lingered around. 
We do not engage in sex acts.

Until Drinking one night we had unprotected oral sex and protected Viginal sex.  My concerns are as followed :

For my partner who does not have to our knowledge GW virus.  What are the chances I did or did not give this to them. The encounter was 20 mins or so between the 2 and some limited forplay. The morning before I had shaved and one on the small I believe to be a small wart( probably correct) got shaved down to the skin not a lot of bleeding at all a dab if that.  Online there are lots of differences in informations.  Could you help me to understand the risk that I have transmitted this to my partner? 

What are the risk of giving them oral warts via     
W going down on M with confirmed GW hpv virus.
It has been 2 months and they have no signs of oral or viginal Warts.

Thank you
37 months ago
To clarify the one of the two that was cut shaving is in pubic hair area not on my penis. The other one is on inner thigh just below testicles. Thanks 
Edward W. Hook M.D.
Edward W. Hook M.D.
37 months ago
Welcome to the Forum.  I'll do my best to help.  Before I get to your specific questions however, let me provide a few more general comments about warts and HPV infection.  I think your anxiety is misplaced.  Virtually all sexually active Americans acquire HPV at some time in their lives (even those who are monogamous!)  and from a medical perspective for all but a fraction (a small fraction of 1%) of those who infected the disease is nothing more than a nuisance- sometimes cosmetically, sometimes otherwise.  Further, if the idea that HPV is an STI upsets you, you need to get over that idea.  As noted above, virtually all sexually active persons get this chronic viral infection so, unless you are feeling guilty because you have had sex with more than a single partner in your life, for practical purposes, this is just part of being a sexually active person.  It is for these reasons that we continue to urge our clients not to get overwrought by the possibility of an HPV infection and to not feel a need to disclose of their infections to sexual partners who, like so many, are likely to over react and be mis-informed about their infection.

Secondly, it is not clear to me that the lesions you have are actually warts.  All too many clinicians call any bump or lesion present in the genital region warts.  This is not-uncommonly incorrect.  Warts in the pubic hair region and inner thigh are relatively uncommon. These are common areas for other benign skin lesions including skin tags. Now on to your questions:

There are not precise estimates of the per encounter risk for transmission of HPV however it is clear that most single exposures do not lead to infection, that condoms do reduce the risk of transmission and that oral infections are less common than genital infections suggesting that oral sex is less efficient for transmission than genital contact.  I would add, as I read your post, it appears that he areas which would have been involved with oral sex are not which your possible warts are.   The risk of your partner becoming infected by performing oral sex is low.

This really is not something to worry about.  I hope the information I have provided will be helpful.  EWH
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37 months ago
Thank you for the infomation you shared. 

As a follow-up

I checked the rest of my lower area this morning and notices another other small growth 
 (flappy and soft) size of a grain on my opposite inner thigh ( or groin area if you prefer) this could possible be from the shaving and cutting what I thought was a GW and transferring the GW. ( if indeed it is GW) Are GW usually soft and it feels as thu I can move the skin over with my finger kind of flappy? And if I cut myself first week of December and transferred it would that be sufficient time to arise?

Secondly, the time I was told i had GW at the clinic it was on one my penis shaft but this one was not like a cauliflower looking ones I saw online  more like a harder wart that sprouted up.

Should I inform my partners of the future as I have read about people in the states going to jail for not disclosing GW.  Any takes on that?

Thank you



37 months ago
Also to clarify the one on my pubic area that was cut was hard in Nature and slightly raised.  Closer to base of penis but still in public area. Sorry I just wanted to clarify.

Edward W. Hook M.D.
Edward W. Hook M.D.
37 months ago
Thanks for the additional information you have provided.  Clearly the more you ok, the more previously unnoticed skin irregularities you are likely to find.  That does not mean they are warts.  Obviously I cannot examine the lesions you describe and tell you whether or not they appear to be warts but from your descriptions it is questionable.   Right now on your inner thigh could certainly be a skin tag.    Further, just because you had a Penile wart on one occasion does not mean that other genital lesions are also warts.   As I said earlier, I see no reason to disclose your possible HPV infections (past or present) to partners.  Further, your statement about people going to jail sounds like a false statement of the sort seen all too often on the Internet.  EWH---